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Pharmacology for Nurses

Review Questions

Pharmacology for NursesReview Questions
1.
A nurse is caring for a client who is receiving mannitol. Which of the following interventions should the nurse provide for the client?
  1. Elevate the head of the bed to 30 degrees and keep the client’s head at a neutral position.
  2. Place the client in a supine position with the head turned to the right side.
  3. Elevate the head of the bed 90 degrees and keep the client’s head at a neutral position.
  4. Place the client in a supine position with the head turned to the left side.
2.
A nurse is preparing to administer valproic acid 300 mg orally twice daily. Available is valproic acid 250 mg/5 mL. How many milliliters should the nurse administer per dose? Round to the nearest whole number.
  1. 4 mL
  2. 5 mL
  3. 6 mL
  4. 7 mL
3.
A nurse is teaching a female client diagnosed with migraine headaches about a new prescription for sumatriptan. Which of the following instructions should the nurse include?
  1. Take this medication every day to prevent migraine headaches.
  2. Use contraception while taking this medication.
  3. Take the drug every 30 minutes until the migraine headache subsides.
  4. Monitor blood pressure every 2 hours while taking this medication.
4.
A nurse is assessing a client who is receiving valproic acid. What therapeutic response does the nurse expect to see from valproic acid?
  1. Decreased seizure activity
  2. Reduced intracranial hypertension
  3. Improved migraine headache
  4. Decreased intracranial pressure
5.
A nurse is preparing to administer phenytoin 70 mg bolus to a client with a seizure disorder. The drug is supplied as a 50 mg/mL vial. How many milliliters should the nurse administer? Round to the nearest tenth.
  1. 1.25 mL
  2. 1.4 mL
  3. 1.55 mL
  4. 1.6 mL
6.
A client is prescribed ethosuximide for seizures. Which of the following adverse effects should the nurse monitor the client for?
  1. Increased energy
  2. Constipation
  3. Sleeplessness
  4. Rash
7.
Which of the following statements is true about migraine headaches?
  1. A two-course therapy approach of preventive and prophylactic therapies is required for migraine headaches.
  2. Clinical manifestations of migraine headaches can last several hours up to several days.
  3. Migraine headaches do not affect a client’s quality of life or ability to perform activities of daily living.
  4. Migraine headaches are triggered by a calm, quiet, and dark environment.
8.
A nurse is monitoring increased intracranial pressure on a client. Which of the following findings would represent an abnormal intracranial pressure for an adult client in a vertical position?
  1. 5 mm Hg
  2. 8 mm Hg
  3. 14 mm Hg
  4. 20 mm Hg
9.
The nurse is providing instruction to a client with newly diagnosed intracranial hypertension with increased intracranial pressure. On which of the following drugs should the nurse provide client education?
  1. Acetazolamide
  2. Lorazepam
  3. Phenytoin
  4. Lasmiditan
10.
Which of the following drugs is commonly prescribed to treat seizures and can cause behavioral and psychotic adverse effects?
  1. Carbamazepine
  2. Rimegepant
  3. Acetazolamide
  4. Levetiracetam
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